Percutaneous Endoscopic Lumbar Discectomy (PELD) Surgery

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Percutaneous Endoscopic Lumbar Discectomy (PELD)
Surgery
Surgery in India Percutaneous Endoscopic Lumbar
Discectomy (PELD) is quite a unique approach
which is quickly getting popular amongst patients
and surgeons in the treatment of nonsequestrated
disc herniation (disc prolapse) as it reduces the
post operative hospitalization and recovery
time. PELD or Percutaneous Endoscopic Lumbar
Discectomy is an advanced minimally invasive
spine surgery done for the decompression of the
lumbar disc space and removal of nucleus pulposus
via a posterolateral approach. PELD is also a
good treatment option in management of spinal
tumors and structural deformities also in
patients whose pain threshold is low or who are
not responding well to conservative treatments
like pain killers, anti inflammatory drugs and
rehabilitation.

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How is a PELD procedure performed?
Percutaneous Endoscopic Lumbar Discectomy is a
minimally invasive day care procedure which is
performed under local anaesthesia and mild
sedation. The patient is made to lie on his front
on the operation table and through an image
intensifier X-ray system the entry point on
patients body is mapped. There are two ways by
which inter-vertebral disc is removed which could
be manual or using laser. A manual procedure,
also known as automated percutaneous discectomy,
entails inserting a long spinal needle from side
of back directly into the disc bypassing other
bone and ligament structures. A guide wire is
made to pass through the spinal needle and after
making an incision of 5 mm an endoscope is
inserted. To the endoscope is attached a camera
and monitor which provide visual help in removing
the prolapsed part of disc.

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Advantaages of PELD (Percutaneous Endoscopic
Lumbar Discectomy)
Surgery done under local anesthesia with
conscious sedation Very good technique for old
and medically compromised patients. No muscle,
ligament or normal tissue damage It saves the
time and the costs. 75 of the patients
discharged on the same. Due to rapid recovery,
comparing to open surgeries, it is recommendable
for the workers or students with the desire of
early return-to-work. Even prolapsed, migrated,
extra-foraminal, recurrent discs can be
removed. Very good technique for old and
medically compromised patients. Even prolapsed,
migrated, extra-foraminal, recurrent discs can be
removed.

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